Individual
CHELSEY NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
16250 N 160TH AVE, SURPRISE, AZ 85374-5708
(309) 261-0263
Mailing address
16250 N 160TH AVE, SURPRISE, AZ 85374-5708
(309) 261-0263
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
3291
AZ
225X00000X
Occupational Therapist
Primary
OTH-009333
AZ
Other
Enumeration date
06/27/2007
Last updated
11/01/2023
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